200
1
DDepartment Treated as a Private Foundation
For calends G Check all UsethaIRS
label R C LILLY FOUNDATION AGENCY 25525540
Otherwise, Number and street (or P O box number if mail is not delivered to street address) print
o`ryPa
See specific P 0 BOX 64713 TRUST TAX SERVICES
Instructions City or (own, sate, and ZIP code
ST PAUL, MN 55164-0713
1 Check type of organization X Section 501(c)L3) exempt private foundation
41-6038717
Room/suite B Telephone numEer (sea papa 10 0l the instructions)
(651) 244-0942
C It exemption application M
parting rnxx nee " u Q 1 Foreign apanvsc,ma Uheci
2 Foreign a0~~~smeelu~ptlie esx lest me x rive and ertal, ' ,
. . computation
E IIOnvdt~lounEelmatalu~wd7immnlteE under Sector, 5071ENiNA) chadit nen
F It tpefounEation n h aBUmmN temmmm unam,rLm5a71o1(+Me) cnerxnee Ill F-1
(U) Disbursements (c) Adjusted net (or charitable
income purposes
(a) Revenue and expenses per books I (b) Net investment income
1 Conlnouhm_a, ills
R prmiu aK rsBiwO (mtaT schedule)
~ y~ the foundation n riot required to
N 1 U-ertBUSch--B
p 2 Distributions from split-interest trusts 3 Interest on senn0a and temporary cash investments t Dividends and interest from securities
O 5 a Gross rents ,
b (Net rental income or (loss)
C 6 a Net gain or (loss) from sale of assets not on line 10 b Gross sales price for all assets on line 6a 4,547,398 7 Capital gain net income (from Part IV, line 2)
8 Net short-term capital gain V s Income modifications
10a Gmss sales less retumf . and sllwwnw Is Less Cost of goods sold
c Gross profit a (loss) (attach sUedute) 17 Other income (attach schedule)
27 Subtract line 26 from line 12
a 150, 174 .
b Not Investment Income (if negative, enter -0-) JS A Adjusted net Income (if negative, enter -0-)
1E14103 000 For Paperwork Reduction Act Notice, we the Instructions
IQ0639 L770 05/06/2002 08 31 49 25525540
Form (3001)
«1C
4
Name of organization Employer Identification number
I Fair market value of all assets at end of year (from Part II, cot (c), line
Analysis of Revenue and Expenses (The total of amounts m columns (b), (c), and (d) may not necessarily equal the amounts m
unting method UX Cash U Accrual Other (specify) --- column (d) must be on cash basis)
13 Compensation of officers directors trustees etc m 14 Other employee salaries and wages c 15 Pension plans employee benefits
~ 7sa Legal tees (attach schedule) , STMT. 6 m b Accounting fees (attach schedule)
= e Other professional fees (attach sckJ) 7 . 17 Interest . ,
y c7~~7 ~
C 7 8 Taxes (attach schedule) (6a0 page 14 of 0%'WC!x8%) 7 9 Depreciation (attach schedule) and depletion 20 Occupancy
9 c 27 Travel, conferences, and meetings A
a 22 Printing and publications
2a Other expenses (anal schedule) STMT ~ ,
`m 24 Total operating and administrative expenses
O a Add lines 13 through 29 ,
25 Contributions, gifts, grants pad . .
Fair
Organizations that follow SFAS 117, check here " U and complete lines 24 through 26 and lines 30 and 31
N wo 24 Unrestricted . . , , , , . . . A 25 Temporarily restricted
m 26 Permanently restricted " "
°c Organizations that do not follow SFAS 177, ,i check here and complete lines 27 through 37 ji~
0 27 Capital stock, trust principal, or current funds . . 452,838 452,838
d 28 Paid-in or capital surplus, w land bldg . end equipment land
p 29 Reamed earnings accumulated Incane endarmmL m other funds 8 , 062 , 082 8. 2 2 . Zs 51
a 30 Total net assets or land balances (see page 17 of the
i instructions) 8,514,920 8,665,094
~31 Total liabilities and net assetsltunC balancea(see page 77 0l
the instructions) 8,514,920, 8,665,094
Analysis of Changes in Net Assets or Fund Balances
t Total net assets or fund balances at beginning of year- Part II, column (a), line 30
(must agree with end-of-year figure reported on prior years return) , , , , , 1 8,514,920
2 Enter amount from Part I, line 27a 2 150,174
3 Other increases not included inline 2(Rem¢e) "___________________ __ 3
4 Add lines 1, 2, and 3 4 8,665,094
s Decreases not included in line 2 (itemize) "_ _ _ _ _ _ _ _ _ _ _
s Total net assets or fund balances at end of ear line 4 minus line 5 -Part II column b line 30 . 6 8, 665 , 094 Form 990-PF (2007) JSA
IEia707000
IQ0639 L770 05/06/2002 08 31 49 25525540 5 -
1 Cash-non-interest-bearing - I , 1 10 -
2 Savings and temporary cash investments 274,980
3 Accounts receivable t
Less allowance far doubtful accounts t 4 Pledges receivable
Less allowance for doubtful accounts 5 Grants receivable
6 Recewables due from officers, directors, trustees and other disqualified persons (attach schedule) (see page 15 of the instructions) 7 Other notes and loans receivable (attach schedule) 1 _ _
Less allowance (or doubtful accounts 8 Inventories for sale or use
9 Prepaid expenses and deferred charges , _ ,
708 Investments -US and state govemment obligations (attach schedule)
b investments - corporate stock (attach schedule) . STMT 10 8,211,596 . 8,4 c Investments - corporate bonds (attach schedule)
Investments-land buildings
77 and equipment besu --- Less acamulated depreciation
(attach schedule) ___________________
7 2 Investments - mortgage loans
7 7 Investments - other (attach schedule) ,
74 Land buildings and equipment basu --- Less _ accumulated depreciation is,
15 Other assets (de9cnbe ! JIMI_ I I) 16 Total assets (to be completed by all filers - see page 16 of
VOV~ ~ 4
17 Accounts payable and accrued expenses 18 Grants payable
19 Deferred revenue , , , , , , , 20 Loans from officers directors trusteaus, and other disqualified persons 27 Mortgages and other notes payable (attach schedule)
22 Other liabilities (descnbe 10 _-__-______________)
om lete only for assets showing gain in column h and owned b the foundation on t (I) F M V as of 12131/69 U) Adjusted basis (k) Excess of cot (q as of 12/31/69 over cot Q) if any
(1) Gams (Col (h) gam minus cot (k), but not less than -0-) or
Losses (from cd (h))
Was the organization liable for the section 4942 tax on the distributable amount of any year in the base period? . f__~ Yes F_~ No If "Yes," the organization does not qualify under section 4940(e) Do not complete this part
t Enter the appropriate amount in each column for each year, see page 18 of the instructions before making any entries
0 .22708656718 0 .04541731344 9,965,636 452,612 7,992 460,604
2
4 Enter the net value of nonchantable-use assets for 2001 from Part X, line 5 , , , . , , , , 5 Multiply fine 4 by line 3
. .I s 6 Enter 1% of net investment income (1% of Part I, line 27b)
7 Add lines 5 and 6 . . . . . . . . . .
8 Enter qualifying distributions from Part XII, line 4 . . . I 8 1 637 .906
JSA II line 8 is equal to or greater then line 7 check the box in Part Vl line 1b and complete that pert using a 7% tax rate Sea, the Pert VI insWCUOnf an papa 18
1E14303000 Form 990-PF (2001)
10639 L770 05/06/2002 08'31 49 25525540 6 -
(a) List and describe the kind(s) of property sold (e g real estate 2-story brick warehouse, a common stock 200 shs MLC Cc ) 7a SEE PART IV SCHEDULE
b c d
e (e) Gross sales puce (Q Depreciation allowed (9) Cost or other basis (or allowable) plus expense of sale
1c1 Date (d) Date sold
~ruRnase acqwred Imo day yr ) u~.or.,~, (mo daY n )
(h) Gain or (lass) (e) pus (Q minus (g)
2 Capital gain net income or (net capital loss) ' i If (loss), enter -0- in Part I, line 7 } 2 789, 045 . 7 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6)
If gain, also enter m Part 1, line 8, column (c) (see pages 13 and 17 of the instructions) 1}
If (loss) . enter-0. in Part 1 Imp A ' 3
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income ) If section 4940(d)(2) applies, leave this part blank
Base period years calendar year (or tea year beginning in) Adjusted qualifying distributions Net value of nonUiarrtsbls-use nsseb
2000 679,656 13,072,145
1999 648 .082 . 13 .339 .040
1997 1996
2 Total of line 1, column (d) . . . . . . . . .
3 Average distribution ratio for the 5-year base period-divide the total on line 2 by 5, or by the number of years the foundation has been in existence if less than 5 years
raw
b Domestic or anizations that meet the section 4940(e) requirements in Part V, check 1 here " end enter 1 % of Pert I, fine 27b . . . .
c All other domestic organizations enter 2% of line 27b Exempt foreign organizations enter 4°h of Part I, line 12, cot (b 2 Tax under section 511 (domestic section 4947(a)(1) gusts and taxable foundations only Others enter -0.) 2
3 Add lines 7 and 2 1
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only Others enter -0-) 4 S Tax based on Investment Income Subtract line 4 from line 3 II zero or less enter-0. 5 8 Credits/Payments
a 2001 estimated tax payments and 2000 overpayment credited to 2001 6a 21 073
b Exempt foreign organizations - tax withheld al source 6 b NON
c Tax paid with application for extension of time to file (Form 8868) 6c NON
d Backup withholding erroneously withheld , , 6d
7 Total credits and payments Add lines 6a through 6d , , , , . . 7
8 Enter any penalty for underpayment of estimated tax Check here O it Form 2220 is attached , , 8 9 Tax due If the total of lines 5 and 8 is more than line 7, enter amount owed , 9 70 Overpayment If line 7 is more than the total of lines 5 and B enter the amount overpaid " 7 0
7 .992
1 a During the tax year, did the organization attempt to influence any national, state or local legislation or did Yes No
it participate or intervene in any polNral campagn? , , , , , , , , , , t o
b Did it spend more than $700 during the year (either directly or indirectly) for political purposes (see page
19 of the instructions !or definition)? -11 b
I(the answer is Wes"to 1e or 16 attach a detailed descnpfrcan of the activities and copies of any materials published or distributed by the organization m connection with the activities
c Did the organization file Form 1720-POL for this yeah 7 c
d Enter the amount (if any) of fax on political expenditures (section 4955) imposed during the year (7) On the organization t $ (2) On organization managers " $
e Enter the reimbursement (if any) paid by the organization during the year for political expenditure tax imposed on organizalim managers " $
Z Has the organization engaged in any activities that have not previously been reported to the IRS? , , 2 11 'Yes,' attach a detailed dascnphm d the activities
3 Has the organization made any changes, not previously reported to the IRS in its governing instrument, articles of incorporation, or bylaws, a other similar instruments? I! 'Yes,'attech a conformed copy of the changes ,
4 a Did the organization have unrelated business gross income of $1000 or more dunng the year! 4a
b II "Yes " has it filed a tax return on Form 990-T la this year? , , , , , , , 4 b NIA 5 Was (here a liquidation, termination, dissolution or substantial contraction dunng the year? , 5 X
If 'Yes,' attach the statement required by General Instruction T
6 Are the requirements of section 508(e) (relating to sections 4947 through 4945) satisfied either
" By language in the governing instrument or
By state legislation that effectively amends the governing instrument so that no mandatory directions
that conflict with the slate law remain in the governing instrument? 6
7 Did the organization have at least $5,000 in assets at any lime dunng the years n ties, " GYVnpIBte Part /l, Cd (C) and Pert XV 7 8 a Enter the slates to which the foundation reports or with which it is registered (see page 19 of the
instructions) Ili. MINNESDTA
b If the answer is "Yes" to line 7, has the organization furnished a copy of Form 99D-PF to the Attorney
General (or designate) of each state as required by General Instruction G? 11 'No,' attach explanation 8 b X 9 Is the organization claiming status as a private operating foundation within the meaning of section 49420(3)
or 4942Q)(5) far calendar year 2001 or the taxable year beginning in 2001 (see instructions for Part XIV on
page 25)7 H Nes ' complete Part XIV g X
10 Did any persons become substantial tontnbulors Cunng the tax year? H 'Yes 'attach a schedule listing their names and addresses 10 X 11 Did the organization comply with the public inspection requirements for its annual returns and exemption applica6m7 . ~ 11
Web site address
112 The books are in care ot1~ _US BANK NA ---- Teiephrneno t (651)244-0942
Locateaat 0. P 0 BOX 64704, ST PAUL, MN ______ ZAP+a 55164
17 Section 4947(a)(1) nonexempt charitable trusts filing Form 990.PF in lieu of Form 1041-Check here "II and enter the amount of tax-exempt interest received or accrued during the veer . t I " 13 ~ .
JSA Form 990-PF(2001)
1 E 1e .a 4 000
IQ0639 L770 05/06/2002 08 .31 49 25525540 7 -
File Form 4720 it any item Is checked In the "Yes" column, unless an exception applies 7 a During the year did the organization (either directly or indirectly)
(1) Engage in the sate or exchange, or leasing of property with a disqualified persons 1:1 Yes O No (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified persons . . . Yes x No
(3) Furnish goods services, or facilities to (or accept them from) a disqualified persons Yes X No (d) Pay compensation to or pay or reimburse lie expenses of, a disqualified person? ~ Yes LXJ No (5) Transfer any income or assets to a disqualified person (or make any of either available
for the benefit or use of a disqualified person)? . . 1:1 Yes E~ No
(6) Agree to pay money or property to a government official? (Exception Check "No"
if the organization agreed to make a grant to or 1o employ the official for a period
after termination of government service, if terminating within 90 days ) . D Yes E~ No b If any answer is "Yes" to 1a(1)-(6), did any of the acts fail to qualify under the exceptions described in Reputations
section 53 4941(d)-3 or in a current notice regarding disaster assistance (see page 19 of the instructions)?
Organizations relying on a current notice regarding disaster assistance check here . . . . ~ 11 ' . . c Did the organization engage in a prior year in any of the acts described in la, other than excepted acts,
that were not corrected before the first day of the tax year beginning in 20017 . . 2 Taxes on failure la distribute income (section 4942) (does not apply for years the organization was a private
operating foundation defined in section 4942Q)(3) or 4942Q)(5))
a At the end of tax year 2001, did the organization have any undistributed income (lines 6d
and 6e, Part XI 11) for tax year(s) beginning before 2001 ? 1:1 Yes EKNo
If"Yes,"list lhe years " __________ . _________ ________ . ________
b Are there any years listed in 2a for which the organization is notapplying the provisions of section 4942(a)(2) re a ing o incorca w~T-asse7s7TO thie-year -sun i~buTecome f ap ying selio' A342(8J(2)
to all years listed answer "No" and attach statement - see page 19 of the instructions ) . . . . . . . c If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here
3 a Did the organization hold more than a 2% direct or indirect interest in any business
enterprise at any time during the yea( . a Yes EKNo
b If "Yes "did it have excess business holdings in 2001 as a result of (7)any purchase by the organization or disqualified persons alter May 26 1969, (2) the lapse of the 5-year period (or longer penod approved by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift a bequest, or (3) the lapse of the 10-, 15- or 20-year first phase holding penod? (Use Schedule C, Form 4720, to determine if the organization had excess business holdings m 2001 ) . .
4 a Did the organization invest during the year any amount in a manner that would jeopardize its chantaDle purposes b Did the organization make any investment in a prior year (but after December 31, 1969) that could jeopardize its charitable
purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2001 5 a During the year did the organization pay or incur any amount to
(7) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? Yes EK No (2) Influence the outcome of any specific public election (see section 4955), or to carry
on directly or indirectly, any voter registration dnve? , , Yes X No
(3) Provide a grant to an individual for travel, study, or other similar purposes , , " e Yes L X] No (4) Provide a grant to an organization other than a charitable etc organization descnbed
in section 509(a)(1), (2), or (3) or section 4940(d)(2)? , , , , , , El Yes EE No (5) Provide for any purpose other khan religious, charitable, scientific, literary, or
educational purposes, or for the prevention of cruelty to children or animals? , , E] Yes EK No b If any answer is "Yes" to 5a(1)-(5), did any of the transactions fail to qualify under the exceptions described in
Regulations section 53 4945 or in a current notice regarding disaster assistance (see page 20 of the instructions)? - Organizations relying on a current notice regarding disaster assistance check here . .
c I( the answer is "Yes" to question 5a(4), does the organization claim exemption from the
tax because it maintained expenditure responsibility for the grant? N / A [:]Yes ~ No If "Yes," attach the statement required by Regulations section 53 49455(d)
6 a Did the organization, during the year, receive any funds, directly or indirectly, to pay
premiums on a personal benefit contracts . . . . . . . Yes EKNo
b Did the organization, during the year, pay premiums, directly a indirectly on a personal benefit contracts , If you answered 'Yes'to 66 also file Form 8870
A
A
X
Jsn 1E1450 4 ooo
IQ0639 L770 05106/2002 08 31 49 25525540 8
Form 990-PF (2001)
225 EAST MASON ST, MILWAUKEE, WI 53202 INVESTMENT COUNCIL 67,769 ---
--- --- ---
Total number of others receiving over $50 000 for professional sennces " NONE
Summary of Direct Charitable Activities
List the foundation s tour largest direct charitable ectrvilics during the tax year Include rderant statistical infurmeLOn such d tie number Expenses of organizations end other Cme&,enn served, conferences conwneE research papers produced etc
- - - - - - - - - - - - - - - - - - ---
NONE z
--- 3
--- 4
---
Fam 990-PF (2001) JsA t E 1460 J 000
IQ0639 L770 05106/2002 08 31 49 25525540 9 -
and Contractors
1 List all officers, directors, trustees, foundation managers and their compensation see a e 20 of the instructioiu
(b) Title end s~erepe (e) Compensation (e) Cmtnwuona to (9) Expense account
(a) Name and address noun per reek (II not paid, enter empiqn oenNn pima
devoted to position d_ ana aslarta0 cmWmueon other allowances
---
0_ _O_
--- ---
_____________________________________
I
2 Compensation of five highest-paid employees (other than those included on line 1 - see page 21 of the Instructions) If none, enter "NONE "
(D) Title and ew2Be (a) Contneutbnf b (y) dense account
(a) Name and address al each employee paid more than $50 000 Eewted to posNOn noun pin reek (c) Compensation ano defer, mrrpenaimn emvlqm beneln oleo peer allowances
---
NONE
--- --- --- ---
3 Five highest-paid independent contractors for professional services - (see page 27 of the Instructions) I( norm, enter
"NONE:"
nn omer prop ram-mama imavnents see papa n or me mswMons
3 NONE
---
total Add lines 1 through 3
Minimum Investment Return (All domestic foundations must complete this part Foreign see page 22 of the instructions )
Fair market value of assets not used (or held for use) directly in carrying out charitable, etc, purposes
a Average monthly fair market value of securities b Average of monthly cash balances
c Fair market value of all other assets (see page 22 of the instructions) d Total (add lines 1a, b, and c)
e Reduction claimed for blockage or other factors reported on lines 1a and 1c (attach detailed explanation) . , . . . . I 1e I
1
1a l 9 .499 .135
3 Subtract line 2 from line 1d 3
4 Cash deemed held for charitable activities Enter 1 1/2% of line 3 (for greater amount, see page 23
of the instructions) 4
5 Net value of noncharitable-use assets Subtract line 4 from line 3 Enter here and on Part V, line 4 5
6 Minimum investment return Enter 5% of line 5 6
n 4942Q)(3) and Q)(5) private operating and do not complete this part )
1 4
7,992
,3 2c 4
NON
ac 5 4
. . .' .
I on Part XIII. line 1 7 4
NONE
Qualifying Distributions (see page 23 of the instructions)
Amounts paid (including administrative expenses) to accomplish charitable, etc, purposes
Expenses, contributions, gifts, etc - total from Part I, column (d), line 26, . . . 1 a
Program-related investments-Total from Part IX-B 1 b
Amounts paid to acquire assets used (or held for use) directly in carrying out ~charRable, etc ,
purposes 2
Amounts set aside for specific charitable projects that satisfy the
Suitability test (prior IRS approval required) , , , 3a
Cash distribution test (attach the required schedule) 3b
Qualifying distnbutions Add lines 1a through 3b Enter here and on Part V, line 8 and Part XIII, line 4 4 Organizations that qualify under section 4940(e) for the reduced rate of tax on net investment
income Enter 1% of Par[ 1, line 276 (see page 24 of the instructions) . . , . 5 Adjusted qualifying distributions Subtract line 5 tram line 4 6
Note The amount online 6 will be used in Part V, column (b), m subsequent years when calculating whether the foundation qualifies for the section 4940(e) reduction of tax in those years
7 a 2 b
3 a 4 b 5
6 7,992
Jsn tEU70d000
IQ0639 L770 05/06/2002 08 31 .49 25525540 10 -
--- 2
---
Distnbutable Amount(see page 23 of the instructions) (Sectio foundations and certain foreign organizations check here li~ n 1 Minimum investment return from Part X, line 6 . . . . .
2 a Tax on investment income for 2001 from Part VI, line 5 . 2a b Income tax for 2001 (This does not include the tax from Part VI ) 2b c Add lines 2a and 2b
3 Distributable amount before adjustments Subtract line 2c from line 1 4 a Recoveries of amounts treated as qualifying distributions 4a
b Income distributions from section 4947(a)(2) trusts . . . , . 4b c Add lines 4a and 4b
5 Add lines 3 and 4c . . . . .
6 Deduction from distnbutable amount (see page 23 of the instructions) , , 7 Distnbutable amount as adjusted Subtract line 6 from line 5 Enter here any
282
9
Forth 990-PF(2001)
Undistributed Income (see page 24 of the instructions)
(d) 2001
609 .511
609 .511 .
1 Undistributed income for 2007 Subtract lines 4d and 5 tram line 7 This amount must be distributed in 2002
7 Amounts treated as distributions out of corpus to satisfy requirements imposed by section 170(b)(1)(E) or 4942(8)(3) (see page 25 of the instructions) ,
g Excess distributions carryover from 1996 not applied on line 5 or line 7 (see page 25 of the instructions) . . . . . . . . . 9 Excess distributions carryover to 2002
Subtract lines 7 and B from line 6a . . . 10 Analysis of line 9
a Excess (ran 1997 NON
b Excess from 1998 NON
e Excess from 1999 NON
d Excess (ran 2000 NON
NON
vom, 990-PF (xoo,)
10639 L770 05/06/2002 08 31 49 25525540 11 -
7 Distnbulable amount for 2001 from Part XI line 7
2 Undotnbuted income if my .as o1 the and N 2000 a Enter amount for 2000 only
b Total lorpnwyesrs
J Excess distributions carryover d any, to 2001
e From 1996 , , NON
b From 1997 NON
e From 7998 , , NON
d From 1999 NON
e From 2000 , , NON
f Total of lines 3a through e , , d Qualifying distributions (or 2007 from Part
x11, pine e t 637, 906
a Applied to 2000, but not more than line 2a b Applied to undistributed income o1 prior years
(Electionrequired -seepage ZlaNeinsWWms) c Treated as distributions out of corpus (Election
required - see page 24 of the instructions) d Applied to 2001 distributable amount
e Remaining amount distribute d out of-orpus-.
5 Excess distnbulions carryover applied to 2001 (X an amount appears in column (d), the same amount must be shown in column (a)) s Enter the net total of each column as
Indicated below
a Corpus Add lines 3f, 4c, and 4e Subtract line 5 b Prior years' undistributed income Subtract
line 4b from line 2b
c Enter the amount of prior years' undistributed income (or which a notice of deficiency has been issued, or on which the section 4942(a) tax has been previously assessed , , , , , d Subtract line 6c from line 6b Taxable
amount - see page 25 of the instructions B Und,stributed income for 2000 Subtract line
Is from line Ia Taxable amount- see papa ZS of the instructions
lal (b) I (e)
xpus Years prior to 2000 2000
JSA tE14B04000
If the foundation has received a ruling or determination letter that it is a private operating foundation and the ruling is effective (or 2001 enter (he dale of the ruling
described in section
(1) Total support oLh. men pmae imvmimt amp (inivrst dmdmds rents Payments m amomim loans rseaw, Stt(a)(5)) or royiun), (2) Support man, general
public and 5 a more exempt apenuetwna ea prow0e0 n sxlm JIU2GN3Nel(r) (3) Largest amount d support
fro. an mm;,t organization
d Any restrictions or limitations on awards such as by geographical areas, Uantable fields, kinds o! institutions, or other factors
SEE STATEMENT 14
I E 1490 7 00o Form 990-PF (2001)
100639 L770 05/06/2002 08 .31 49 25525540 12 -
b Check box to indicate whether the 2a Enter the lesser of the
adjusted net income from Pert I or the minimum investment return horn Part X for each year listed b 85% of line 2a
C Qualifying distributions from Pon xn unelli«exnr.sisiaa d anounu induced in iro Yc rin
used directly for aloe miEUC Of exempt acslmbas OuN,yInpOobiWOmamade directly for solve mn0ud d exsmpl adman SuoVed link 7a from link ]c Complete 3a 0 or clarNs siumetha lm failed upion 0 'NsetYeIVimuwtest inter
(7) val of &I ..in, (2) value mma . ousldynp
under section 4wzGR]NBllq D 'Enaawmant'rlYnauatest
Enter 213 al minimum immsurner, return shown in Pan % Ime 0 for exach year lirtW
IjEJUM Supplementary Information (Complete this part only If the organization had $5,000 or more m assets at any time dining the year - see page 26 of the Instructions )
7 Information Regarding Foundation Mangers:
a List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation before the close of any tax year (but only if they have contributed more than $5,000) (See section 507(d)(2) )
NONE
b List any managers of the foundation who own 10% or more of the stock of a corporation (or an squatty large portion of the ownership of a partnership or other entity) of which the foundation has a 10% w greater interest
NONE
2 Information Re arding Contribution, Grant, Grit, Loan, Scholarship, etc , programs-
Check here " ~ il the organization only makes contributions to preselMed charitable organizations end does pat accept unadiateE requests M funds If the organization makes gifts grants etc (see page 26 d the instructions) b individuals a otgBn¢n4ans under other conditions, complete items 2a, b, c, tied d a The name, address, and telephone number of the person to whom applications should be addressed
SEE STATEMENT 12
b The form in which applications should be submitted and information and materials they should indude
SEE STATEMENT 13
e My submission deadlines
THERE ARE NO SUBMISSION DEADLINES
the Year or Approved for Future Payment
f recipient u en mdmduW Foundatmn show any releUOnship to a at
Purpose of grant o,
any foundetron manager coniributwn
. . . I ___~.. ..Y ~ recipient ~
3 Grants and Cantnl Recipient
Amount
Name and address (home or business) a Paid dunng the year
SCHEDULE ATTACHED 625 .050
SEE STATEMENT 15
Form 990-PF (xooi)
JSA 7E1<81 ] 000
10639 L770 05/06/2002 08 37 49 25525540 13 -
b Approved for future payment
1 Program service revenue a
b t d e f
g Fees end contracts from qouemment al 2 Membership dues and assessments
3 Interest on savings and temporary cash investrnmta 4 Dividends and interest from securities 5 Net rental income w (loss) from real estate
a Debt-financed property , b Not debt-financed property
6 Net rental income or (Inu) from personal pmperry 7 Other investment income
8 Gain or (loss) horn sales of duets other then inventor 9 Net income or (loss) from special events 10 Gross profit or (loss) from sales of inventory 11 Other revenue a
w AJI SCF-LLAHFBUS C
d e
7 2 Subtotal Add columns (b) (d), and (e)
7 3 Total Add line 12 columns (b), (d), and (e) . . " 13
JSA tEt497 4 OW
IQ0639 L770 05/06/2002 08 31 49 25525540 14 -
Enter gross amounts unless otherwise indicated
1-1 I (b) t°) I 141
Business Fs[Lieinn
4
Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to Line Na the accomplishment of the organization's exempt purposes (other than by providing funds far such purposes) (See
page 27 of the instructions )
Perm 990-PF (2001)
JSA 1E74977000
IQ0639 L770 05/06/2002 08 31 :49
1 Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527 relating to political organizabons?
a Transfers from the reporting organization to a noncharitable exempt organization of
Itl Cash . .
(2) Other assets , , , _ , , b Older Transactions
(1) Sales of assets to a noncharilable exempt organization , ,
(2) Purchases of assets from a nonUantable exempt organization (3) Rental of facilities, equipment, or other assets
(4) Reimbursement arrangements . (5) Loans or loan guarantees
(6) Performance of sernces or membership or fundraising solicitations
e Sharing of facilities, equipment, mailing lists, other assets, or paid employees , , ,
d 11 the answer to any of the above is 'Yes," complete the following schedule Column (b)should always show the fair market value of the goods, other assets, or services given by the reporting organization If the organization received less than lair market value in any transaction or sharing artangement, show in column (d)Ihe value of the goods, other assets, or services
Z a Is the organization directly or indirectly affiliated with, or related to one or more tax-exempt organizations
described in section 501(c) of the Code (other than section 507(c)(3)) or in section 527? O Yes F X1 No b If "Yes," complete the following schedule
a Name olorganization b Typ e olo onn inization 10 Descri ption of relationship
Under penalties of p ry. I dad a that I ha mm this Mum including ercanpenrnB schedules, end Statements and to the best of my knowledge and belief it n true coned, en m0lete D erebon of spa (agar than taxpayer or fiduciary) u based on all informetim of which preparer has any knowledge
m I Signature of olfce
2 m ,
c ~ Preparely , , ,
-°A a o signature ~
~an Fvm'sname(wyours 110
' U .S BANK N it selt~rnpoyed), address, p 0 BOX 647
andZIPcode ST PAUL MN
CAPITAL GAINS AND LOSSES FOR TAX ON INVESTMENT INCOME
Kind of Property Description _ ^ Date Date sold
other I as of I as of I FMV over I I or
JSA 7E, IQ0639 L770 05/06/2002 08 31 4
TOTAL SHORT-TERM CAPITAL GAIN DIVIDENDS TOTAL LONG-TERM CAPITAL GAIN DIVIDENDS
190 AES CORP COM PROPERTY TYPE SECURITIES
9,503 11,744
190 . AES CORP COM PROPERTY TYPE . SECURITIES
9,863 . 11,744
2200 . ADELPHIA COMMUNICATIONS CORP PROPERTY TYPE SECURITIES
87,997 92,424
PROPERTY TYPE SECURITIES
154,003 154,602
290 AMGEN INC COM PROPERTY TYPE . SECURITIES
21 .029 . 20 .264
6000 . APOGENT TECHNOLOGIES INC C PROPERTY TYPE SECURITIES
135,060 29 .798
330 APPLIED MICRO CIRCUITS CORP PROPERTY TYPE SECURITIES
8,121 26 .156
480 ARIBA INC COM PROPERTY TYPE SECURITIES
3,037 . 39,074
2100 ARROW EL ECTRS INC COM PROPERTY TYPE . SECURITIES
62,950 . 42,708 .
3200 . ARROW ELECTRS INC COM PROPERTY TYPE SECURITIES
94,385 I 81,120
2,462 19,092 .
09107/20001 01/04/2001 -2 .247
09/07/2000 01/05/2001 -1,881
04/17/2000 03/19/2001 -4,427
15/
-599 .
09/07/2000 03/07/2001 765
08/1711993 04/26/2001 105,262 .
10/27/20001 04/18/2001 -18,035
01/24/20011 05/15/2001 -36,037
07/26/1999 01/03/2001 20 .242
04/23/20011 12/20/2001 13,265
CAPITAL GAINS AND LOSSES FOR TAX ON INVESTMENT INCOME
Kind of Property Descnption
N
_ _ Date_ Date soldother I as of I as of I FMV wer
2900 BLOCK H & R INC COM PROPERTY TYPE' SECURITIES
42 .873
W-22 PROPERTY TYPE SECURITIES
63,570 .
3500 BRADY W H CO PROPERTY TYPE . SECURITIES
78,310
700 BRADY W H CO PROPERTY TYPE SECURITIES
15,137
1400 . BRADY W H CO PROPERTY TYPE SECURITIES
30,100
120 . BROADCOM CORP PROPERTY TYPE . SECURITIES
27,758
83,657
CL A 06/1911996 05107/2001 38,591 .
CL A 07/30/1996 06/18/2001
COM
JsA I
'E177110" IQ0639 L770 0510 0
price less
23,469
19,242 .
203,285 .
108,572
147 .227
116,901 .
23,132
46,184 .
4,273
3 .885
21,595
490 . BEST BUY INC COM PROPERTY TYPE SECURITIES
28,756 .
280 . BEST BUY INC CAM PROPERTY TYPE . SECURITIES
15,298 .
3000 BLOCK H & R INC COM PROPERTY TYPE SECURITIES
88,703
or
09/07/2000 02/01/2001 -5 .287
11102120001 07/1812001 3,944
06/20/2000 07/02/2001 114,582 .
06/20/2000 08/23/2001 65 .699
CL A
160 BROCADE COMMUNICATIONS SYS I PROPERTY TYPE SECURITIES
17,260 .
400 . CAMBREX CORP COM PROPERTY TYPE . SECURITIES
9,674 .
7,995
07/30/1996 ~ 06/19/2001 16,084 .
09/07/2000 04/18/2001 -23,485 .
09/07/2000 04/18/2001 -13,375
01/25/1999 06/21/2001 11,921 .
Kind of Property Description Date Date sold acquired
rocs sale Depreciation Cost or FMV Add basis txcess or Gain price less allowedl other as of as of FMV over or
expenses f sat basis
1600 CASEYS GEN STORES INC COM 12/02/1999 05/01/2001 PROPERTY TYPE SECURITIES
18,879 16,996 1,883
1800 CASEYS GEN STORES INC COM 07/21/1992 05/01/2001 PROPERTY TYPE SECURITIES
21,239 . 6,469 14,770
3200 . COVANCE INC COM 05/22/2000 01/08/2001 PROPERTY TYPE . SECURITIES
35,279 28,424 6,855 .
2000 . COVANCE INC COM 11115/1999 01/08/2001 PROPERTY TYPE SECURITIES
22,049 22,048 1
66 QO-COVANe¬-t NC-COM 051221?000- --07402 1001 PROPERTY TYPE SECURITIES
141,501 . 58 .625 . 82,876
1000 DENTSPLY INTL INC NEW COM 01/03/2001 07/16/2001 PROPERTY TYPE SECURITIES
43,599 36,570 7,029
1500 DENTSPLY INTL INC NEW COM 07/14/1994 07/16/2001 PROPERTY TYPE SECURITIES
65 .398 23,719 41,679
2300 DENTSPLY INTL INC NEW COM 07/14/1994 10/12/2001 PROPERTY TYPE SECURITIES
102,493 36,369 66,124
190 . EMC CORP COMMON 09/07/2000 02/13/2001 PROPERTY TYPE SECURITIES
10,921 17,933 -7,012
500 . EMC CORP COMMON 09/07/2000 05/18/2001 PROPERTY TYPE : SECURITIES
20,119 . 47,192 -27,073 .
280 ENRON CORP COM 09/07/2000 01/04/2001 PROPERTY TYPE . SECURITIES
20,066 . 23,694 -3,628
,e,730 +oro IQ0639 L770 05/
08 31 49 25525540 19 -
. CAPITAL GAINS AND LOSSES FOR TAX ON INVESTMENT INCOME
Date Date sold
Kind of Property Description p acquired
ross sae
e~rec~ation P Cost or FMV Ad basis Esess of m
price less allowed/ other I as of ~as of FMV over ~~or~
270 ENRON CORP COM 09/07/2000 01/05/2001 PROPERTY TYPE SECURITIES
19,358 . 22,848 -3,490
30 ENRON CORP COM 09/07/2000 07/18/2001 PROPERTY TYPE SECURITIES
1,461 2,539 . -1,078
2600 FAMILY DLR STORES INC COM 12/08/1999 01/10/2001 PROPERTY TYPE SECURITIES
50,763 . 42 .757 8,006
2600 . FAMILY DLR STORES INC COM 08/10/2000 03/12/2001 PROPERTY TYPE' SECURITIES
68,697 . 40,521 28,176
2700-"MI-CY-DL-R-SfORES-tt4e-COW- fi2/08H999--03/fiZ1300}
PROPERTY TYPE SECURITIES
71,340 44,402 26,938 .
4400 . FAMILY DLR STORES INC COM 08/10/2000 10/04/2001 PROPERTY TYPE SECURITIES
125,572 68 .574 56,998
330 GENERAL ELECTRIC CO COMMON 09/07/2000 05/18/2001 PROPERTY TYPE SECURITIES
17,174 19,449 -2,275
300 . GREAT LAKES CHEMICAL CORP CO 0313111998 0411012001 PROPERTY TYPE . SECURITIES
9,726 14,189 -4,463 .
4400 GREAT LAKES CHEMICAL CORP CO 05/28/1998 71/1612001 PROPERTY TYPE SECURITIES
104,500 184,917 -80,417
5400 . HAEMONETICS CORP MASS COM 08/06/1998 01/05/2001 PROPERTY TYPE SECURITIES
156,055 86,157 69,898 .
2600 HAEMONETICS CORP MASS COM 08/06/1998 04/09/2001 PROPERTY TYPE SECURITIES
82,937 41,483 41,454 .
JsA
+5^ I I I I I
'E17'°1 °°o 1Q0639 L770 05/06/2002 08 .31 49 25525540 20 -
CAPITAL GAINS AND LOSSES FOR TAX ON INVESTMENT INCOME
ate Date old
Kind of Property Description _ -2 ,.
price less I allowed/ I other I as of I as of I FMV over I I or
250 HOME DEPOT INC COM ~ 09/07/~0~00 02/01/2001 PROPERTY TYPE SECURITIES
11 .970 12 .671 .
130 . 12 TECHNOLOGIES INC COM 10/18/2000 02/23/2001 PROPERTY TYPE SECURITIES
3,645 . 11,962 -8,317
360 12 TECHNOLOGIES INC COM 01/22/2001 05/15/2001 PROPERTY TYPE . SECURITIES
7,746 26,605 -79,459 .
270 JDS UNIPHASE CORP COM 09/07/2000 04/18/2001 PROPERTY TYPE SECURITIES
6,534 31,776, -25,242 .
PROPERTY TYPE . SECURITIES
11,706 . 37,927, -26,221
2600 . KEANE INC COM 04/19/1999 07/12/2001 PROPERTY TYPE SECURITIES
48,098 51,883 -3,785 .
170 KOHLS CORP COM 09/07/2000 02/01/2001 PROPERTY TYPE SECURITIES
11,863 . 10,486 1,377
870 . LEVEL 3 COMMUNICATIONS INC 01/31/2001 04/18/2001 PROPERTY TYPE SECURITIES
10,448 36,199 -25,751 .
1100 . MGIC INVT CORP WIS COM 03/15/2000 08/08/2001 PROPERTY TYPE' SECURITIES
80,770 38,038 42,732 .
1000 . MGIC INVT CORP WIS COM 03/15/2000 08/22/2001 PROPERTY TYPE SECURITIES
74,728 . 34,580 40,148
MCDATA CORP COM 09/07/2000 02/13/2001 PROPERTY TYPE SECURITIES
10 10 .
JSA I I 1 I I
'E"'°'°°° 10639 L770 05/0612002 08 31 49 25525540 21 -
CAPITAL GAINS AND LOSSES FOR TAX ON INVESTMENT INCOME
Kind of Property Descriphrn _ , Date Date sold
price less I allowed/ I other I as of I as of I FMV over I I or
25 MCDATA CORP COM 09/07/2000 02/2212001 490 PROPiR458TYPE SECURITIES
I1 -968 .
340 . MEDTRONIC INC 09/07/2000 01/04/2001 PROPERTY TYPE . SECURITIES
18,625 . 17,530 . 1,095
330 MEDTRONIC INC 09/07/2000 01/05/2001 PROPERTY TYPE' SECURITIES
17,542 17,015 527 .
60 MEDTRONIC INC 09/07/2000 07/18/2001 PROPERTY TYPE SECURITIES
2,830 3,094 . -264
380 MFCROMFT-CARP-COMAIQFI--- -097ff7/200 PROPERTY TYPE SECURITIES
23,624 . 26,576 ~ -2,952
3260 MORRISON MANAGEMENT SPECIALI 03/29/1999 02/28/2001 PROPERTY TYPE SECURITIES
129,124 56,487 72,637
4000 MORRISON MANAGEMENT SPECIALI 03/29/1999 03/06/2001 PROPERTY TYPE . SECURITIES
158,595 69,309 89,286
9000 NOVA CORP GA COM 02/15/2000 07/02/2001 PROPERTY TYPE' SECURITIES
285,036 230,404 . 54,632
40 OMNICOM GROUP COM 09/07/2000 02/22/2001 PROPERTY TYPE SECURITIES
3,724 3,267 . 457
230 ORACLE CORP COM 09/07/2000 02/23/2001 PROPERTY TYPE SECURITIES
4,945 10,364 . -5,479 .
180 PMC-SIERRA INC COM 11/06/2000 01/26/2001 PROPERTY TYPE SECURITIES
12,298 37,548 -25,250
140 SCHLUMBERGER LTD COM 09/07/2000 01105/2001 PROPERTY TYPE SECURITIES
10,920 . 11,926 -1,006
120 SIEBEL SYS INC COM 10/24/2000 02/23/2001 PROPERTY TYPE SECURITIES
5,584 13,678 . -8,094 .
220 SIEBEL SYS INC COM 01/24/2001 05/15/2001 PROPERTY TYPE . SECURITIES
9,397 20,146 -10,749 .
1300 SIGMA ALDRICH CORP 03/07/2000 01/05/2007 PROPERTY TYPE SECURITIES
50,743 . 28,438 . 22,305
JSA 11 17A0 1 000 10639 L770 05/06/2002 08 31 49 25525540 22 -
CAPITAL GAINS AND LOSSES FOR TAX ON INVESTMENT INCOME
Kind of Properly Description 31 Date Date sold
acquired
epreaadon Cost w FMV Add basis o m
sale
price less allowed/ other as of as of FMV over or
expenses of sal I d basis loss
910 PALM INC COM 12/26/2000 05/18/2001 PROPERTY TYPE SECURITIES
4,445 . 37,893 -33,448
6200 . PIONEER STD ELECTRS INC CO 07/21/1998 03/27/2001 PROPERTY TYPE SECURITIES
72,145 61,008 11,137
105 PROTEIN DESIGN LABS INC CO 09122/2000 0310712001 PROPERTY TYPE SECURITIES
5 .221 . 12 .384 . -7,163 .
1600 RENAL CARE GROUP INC COM 05/12/2000 09/20/2001 PROPERTY TYPE SECURITIES
50,142 . 38,827 11,315
2000 REPUBLIC SVCS-INC-CL A -D47287200D- OYt04t2001 PROPERTY TYPE SECURITIES
31,799 27,575 4,224 .
900 REPUBLIC SVCS INC CL A 09/01/1999 01/04/2001 PROPERTY TYPE . SECURITIES
14,310 9,635 . 4,675
140 SCHLUMBERGER LTD COM 09/07/2000 01/04/2001 PROPERTY TYPE SECURITIES
10,648 11,926 -1,278
2300 SIGMA ALDRICH CORP 03/07/2000 03/2112001 PROPERTY TYPE . SECURITIES
103,866 50,313 . 53,553
200 . SOUTHWEST AIRLS CO COM 09/07/2000 01/04/2001 PROPERTY TYPE SECURITIES
6,848 4,687 . 2,161
200 SOUTHWEST AIRLS CO COM 09/07/2000 01/05/2001 PROPERTY TYPE SECURITIES
6,782 4,687 2,095
1800 SUNBARD DATA SYS INC COM 10/14/1999 02/12/2001 PROPERTY TYPE SECURITIES
101,301 31,401 . 69,900
100 SUN-GARD DATA-SYS-f fTC- COW_ F rT~l _b57711206T PROPERTY TYPE . SECURITIES
6,209 1,745 4,464
500 SUNGARD DATA SYS INC COM 10/14/1999 05/21/2001 PROPERTY TYPE' SECURITIES
30,969 8,723 . 22,246
1500 SUNGARD DATA SYS INC COM 10/14/1999 05/21/2001 PROPERTY TYPE . SECURITIES
92,532 26,168 66,364 .
235 . VERITAS SOFTWARE CO COM 09/07/2000 04/18/2001 PROPERTY TYPE SECURITIES
13,559 28,068 -14,509
140 VERISIGN INC COM 09/07/2000 04/18/2001 PROPERTY TYPE' SECURITIES
7,238 23,984 . -16,746
690 WAL MART STORES INC COM 09/07/2000 01/03/2001 PROPERTY TYPE SECURITIES
40,322 . 35,361 4,961 .
2850 WAUSAU-MOSINEE PAPER CORP 09/03/1998 06/05/2001 PROPERTY TYPE . SECURITIES
38 .313 39,876 . -1,563
JSA 'E17n 1 " IQ0639 L770 05/06/2002 08 31 49 25525540 23 -
CAPITAL GAINS AND LOSSES FOR TAX ON INVESTMENT INCOME
Date Date sold
Kind of Property Description acquired
ross sae epreaalion Cost or FMV Add basis ss o Gain
price less allowed/ other as of as of FMV over or
JSA I I I I I
'E"'°'°°° 100639 L770 05/06/2002 08 31 49 25525540 24 -
CAPITAL GAINS AND LOSSES FOR TAX ON INVESTMENT INCOME
Kind of Property Description Dale Date sold
acquired Gross sale epreciation Cost or
':MV Add basis cess o Gain
price less allowed/ other as of as of FMV over or
4950 WAUSAU-MOSINEE PAPER CORP 12/15/1994 06/05/2001 PROPERTY TYPE SECURITIES
66,543 84,150 -17,607
8500 WORLDCOM INC GA NEW MCI OR 06/11/2001 11/13/2001 PROPERTY TYPE SECURITIES
97,160 154,575 -57,415
1260 . X0 COMMUNICATIONS INC COM 09126/2000 04/18/2001 PROPERTY TYPE SECURITIES
4,397 42,073 -37,676
. NET SETTLEMENT FROM CLASS AC 03/21/2001 PROPERTY TYPE' SECURITIES
3,548 3 .548
7900-SANfif-FE-INffRNATtONArCORP- 0S/317200Y-69105/2001 PROPERTY TYPE SECURITIES
182,066 223,600 . -41,534 .
50 TRANSOCEAN SEDCO FOREX INC 09/07/2000 01/04/2001 PROPERTY TYPE . SECURITIES
2,118 3,778 -1,060
50 TRANSOCEAN SEDCO FOFEX INC 09/07/2000 01/05/2001 PROPERTY TYPE SECURITIES
2,107 . 3,178 -1,071 .
3100 . COMPLETEL EUROPE NV COM 05104/2000 02/2812001 PROPERTY TYPE SECURITIES
12,400 53,972 -41,572
5000 COMPLETEL EUROPE NV COM 05/04/2000 08/17/2001 PROPERTY TYPE . SECURITIES
4,772 87,051 . 11 -82,279
JsA IQ0639 L770 05/06/2002 08 31 49 255255 25 -
CAPITAL GAINS AND LOSSES FOR TAX ON INVESTMENT INCOME
Dale Date sold
Kind of Property Description acquired
Gross sale Depreciation Cost or FMV Add basis 5s o Gain
price less allowed/ other as of as of FMV over or
expenses of sale allowable basis 12131169 12131/69 ad basis loss
TOTAL GAIN(LOSS) . . . . . . . . . . . . . . . . . . . . . 789,045
FIRST AMERN FDS INC PRIME OBLIG CL C I 22,980 .E 22,980 . --- - -__-_22,980
xosn z o00
- IQ0639 L770 05/06/2002 08 31 .49 25525540 26 STATEMENT 1
FORM 990PF, PART I - INTEREST ON TEMPORARY CASH INVESTMENTS REVENUE
AND NET
EXPENSES INVESTMENT DESCRIPTION --- PER BOOKS --- --- INCOME
TOTAL
ALLTEL CORP COMMON 1,782 1,782 .
AMERICAN EXPRESS COMPANY, COMMON 1~7 157 .
AMERICAN INTL GROUP INC COM ~0 40
APPLERA CORP COM APPLIED BIOSYSTEMS OR ~7 47
APTARGROUP INC COM 1,6 0 . 1,650 .
AUTOMATIC DATA PROCESSING INC , 1~6 166 .
BANK OF NEW YORK INC COMMON 281 . 281
BIG LOTS INC COM 200 . 200
BLOCK H & R INC COM 6,68 6,628 .
BRADY W H CO CL A 2,016 . 2,016
BRISTOL MYERS SQUIBB CO COM 1,7 , 2 1,722
CVS CORP COM 0 30 .
CAMBREX CORP COM 5 F 2 552 .
CASEYS GEN STORES INC COM 1,6 q8 . 1,608 .
CATERPILLAR INC ., COMMON 2,539 2,539
CENTURYTEL INC COM 1,25 . 1,235 .
CHEVRON CORP COMMON d5 65 .
CHEVRONTEXACO CORP COM J~I0 . 70 .
CHUBB CORP COM 95 . 95
CITIGROUP INC COM 3~2 372 .
CORNING INC COM 2 32 .
DELPHI FINL GROUP INC CL A 2,219 . . 2,219 .
DENTSPLY INTL INC NEW COM 1,959 . 1,959
DOW CHEM CO COM 3,45 3,425 .
ECOLAB INC COM 248 . 248
EMERSON ELEC CO COM 22 3 223 .
ENRON CORP COM 8 . 8
FAMILY DLR STORES INC COM 2,644 2,644 .
FEDERAL NA TL MTG ASSN COM 8 78 .
FIRST AMERN INVT FDS INC SMALL CAP VAL 0 . 20
G & K SVCS INC CL A 6 8 8 . 688
GENERAL ELECTRIC CO COMMON 47~7 . 477
%D577 3000
- 100639 L770 05/06/2002 08 31 49 25525540 27 STATEMENT 2
FORM 990PF, PART I - DIVIDENDS AND INTEREST FROM SECURITIES REVENUE
AND NET
EXPENSES INVESTMENT
DESCRIPTION PER BOOKS INCOME
--- --- ---
FORM 990PF, PART I - DIVIDENDS AND INTEREST FROM SECURITIES
REVENUE EXPENSES AND PER BOOKS
1,456
90 ! gel 298 511 844 53'2 1
1,541 325 2611 11 1,848,
288 43 864 350 239 . 290, 176 564 7,024 .
270i 4491, 14,670 . 186
2,870 . 4,800 . 4,059.
406 . 482 .
L
HARTE-HANKS COMMUNICATIONS INC N HOME DEPOT INC COM
HONEYWELL INTL INC COM INTEL CORP
J P MORGAN CHASE & CO COM JOHNSON & JOHNSON COMMON KIMBERLY CLARK CORP COM ELI LILLY & CO COMMON LIZ CLAIBORNE INC COMMON MGIC INVT CORP WIS COM MANPOWER INC WIS COM MASCO CORP COM
MEDTRONIC INC MERCK & CO INC
MINERALS TECHNOLOGIES INC COM MINNESOTA MNG & MFG CO
MORGAN STANLEY GROUP INC COM NEW MORRISON MANAGEMENT SPECIALISTS
NOKIA CORP ADR
NORTEL NETWORKS CORP NEW COM OLD REP INTL CORP COM
OMNICOM GROUP COM PFIZER INC
PIONEER STD ELECTRS INC COM PROLOGIS TA SH BEN INT
PROTECTIVE LIFE CORP COM REGAL BELOIT CORP COM
ROCKWELL INTL CORP NEW COM ROWE T PRICE SMALL-CAP STK FD IN
SBC COMMUNICATIONS INC COMMON COM
xosn z 000
- IQ0639 L770 05/06/2002 08 :31 49 25525540 28 STATEMENT 3
DESCRIPTION
GREAT LAKES CHEMICAL CORP COMMON
COM
INC
INVESTMENT NET INCOME
1,456 . 90 . 87 . 298 . 844 . 51 532 95 . 1,541 325 1,180 . 268 1,848 288 . 43 350 864 239 290 . 176 56 . 7,024 270 . 449 186 . 14,670 .
2,870 4,800 4,059 406 . 482 .
FORM 990PF . PART I - DIVIDENDS AND INTEREST FROM SECURITIES
272 . 25 . 982 23 303 92 248 113 1,326 81 2,760 . 5,100 . ---58 90,796 982 25
23 92 303 113 248 81 1,326 2,760 5,100 58 90,796 TOTAL
XD577 2000
- IQ0639 L770 05/06/2002 08 .31 .49 25525540 29 STATEMENT 4
DESCRIPTION
SCHLUMBERGER LTD COM
SCHWAB CHARLES CORP NEW COM SIGMA ALDRICH CORP
SOUTHWEST AIRLS CO COM TEXAS INSTRS INC
UNITED PARCEL SVC INC COM
VANGUARD INDEX TR SMALL CAPITALIZATION WAL MART STORES INC COM
WALGREEN CO COM
WAUSAU-MOSINEE PAPER CORP COM WISCONSIN ENERGY CORP COMMON
WORLDCOM INC GA NEW MCI GROUP COM TRANSOCEAN SEDCO FOREX INC COM
REVENUE EXPENSES AND PER BOOKS
272
INVESTMENT NET INCOME
MISCELLANEOUS 2,000 .
TOTALS 2,000
STATEMENT 5 xo576 2 ooo 100639 L770 05/06/2002 08 31 49 25525540 30
FORM 990PF, PART I - OTHER INCOME
REVENUE EXPENSES AND
DESCRIPTION PER BOOKS
--- ---
NET ADJUSTED
INVESTMENT NET CHARITABLE
INCOME INCOME PURPOSES
--- --- ---
2,362 . --- --- ---
NONE NONE 2,362
xosn zooo
- IQ0639 L770 05/06/2002 08 .31 49 25525540 31 STATEMENT 6
FORM 990PF, PART I - LEGAL FEES
REVENUE EXPENSES AND
DESCRIPTION PER BOOKS
--- ---
LEGAL FEES 2,36
TOTALS 2,36
REVENUE EXPENSES AND PER BOOKS
INVESTMENT NET INCOME
67,769 67,769 . 44,7961 35,837
112,565 103 .606
- - -
8,959 TOTALS
7cD577 Z 000
- IQ0639 L770 05/06/2002 08 .31 .49 25525540 32 STATEMENT 7
FORM 990PF . PART I - OTHER PROFESSIONAL FEES
DESCRIPTION
FIDUCIARY MGMT, INC . INVESTMENT MGMT
US BANK, AGENCY FEES TRUST ADMINISTRATION
CHARITABLE PURPOSES
8,959
FOREIGN TAXES 35 35 .
FEDERAL TAX 13,100
TOTALS 13,1351 35 .
xosn z oao
- IQ0639 L770 05/06/2002 08 .31 49 25525540 33 STATEMENT 8
FORM 990PF, PART I - TAXES
REVENUE
AND NET
EXPENSES INVESTMENT
DESCRIPTION PER BOOKS --- --- INCOME
xosn zooo
- IQ0639 L770 05/06/2002 08 .31 .49 25525540 ~ 34 STATEMENT 9
FORM 990PF, PART I - OTHER EXPENSES
REVENUE
EXPENSES AND CHARITABLE
DESCRIPTION PER BOOKS PURPOSES
--- --- ---
MEMBERSHIP DUES 1,510 1,510
CHAR . TR FILING FEES 25 . 25 .
--- ---
TOTALS 1,535 . 1,535 .
DESCRIPTION
SCHEDULE ATTACHED 8,211,596
--- 8,211,596 . TOTALS
xosn z o00
- IQ0639 L770 05/06/2002 08 31 49 25525540 35 STATEMENT 10
FORM 990PF, PART II - CORPORATE STOCK
BEGINNING
BOOK-VALUE ENqING ENDING
BOOKVALUE FMV
--- ---
8!493,760 . 10,094,628 --- 8,493,760 . 10,094,628
